Organization Active NPI

Lucia Tanzil DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • San Jose, CA
National Provider Identifier
1013621408
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LUCIA TANZIL DDS INC
Practice address
2211 Moorpark Ave Ste 100
San Jose, CA 95128-2655
Phone
(408) 298-5959
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucia Tanzil, DDS
Title
Doctor
Phone
(408) 298-5959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2211 Moorpark Ave Ste 100
San Jose, CA 95128-2655

Mailing address

2211 Moorpark Ave Ste 100
San Jose, CA 95128-2655
Phone (408) 298-5959

National Provider Directory

National Provider Directory

Locations

2211 Moorpark Ave
Ste 100
San Jose, CA 95128
Phone (408) 298-5959

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1013621408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282655",
            "telephone_number": "408-298-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MOORPARK AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282655",
            "telephone_number": "408-298-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIA TANZIL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "TANZIL",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "408-298-5959",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.